A-therapy

Hero Person

LIFE

Here are moments when it feels completely overwhelming. Everyone struggles with its complexities and from time to time, we all need someone who will listen, will understandand will help us to get things back on track. My name is Rafael, and I have been a professional counsellor for over 15 years. With the right help, I’m convinced that everybody can make change happen and improve their quality of life – even in a short period of time. It might be something specific, but equally you might not even know what’s wrong at the moment, just that something is.But no matter what your situation, I’m here to provide you with the safe, non-judgmental and confidential space you need to explore your thoughts, feelings and behaviours and the experiences which may have led to them. Then you can start to feel better and enjoy a better quality of life. Together we will find a way forward, so if you or someone you care for need support or you would simply like to discuss the options then do get in touch.

Our Approach

Update - 30 January 2026

I currently have appointments available this week.

Appointments via telephone or video calling using FaceTime, WhatsApp or Skype can be arranged by email or booking an assessment online. For last-minute in person sessions please call.

Distancing and safety measures will be in place for all in person sessions.
01

Initial Assessment

First we have an initial assessment. This is an opportunity for you to talk about what you want to get from counselling, to ask questions and ultimately to decide if I am someone you feel comfortable talking to and can trust and be open with.

02

An Individual Approach

We then decide on the best approach for you as an individual, through either a fixed number of sessions, or on an open-ended basis.

We will typically see each other once a week, usually face-to-face. Sessions by telephone or video calling are also possible.

Costs: Sessions cost from £80 per hour for individuals and £120 for couples.

03

Your Regular Sessions

Each counselling session is designed to be a relaxed space where you can talk openly and we can discuss the things that are important to you, safe in the knowledge that you are not going to be judged in any way.

You can share as much or as little as you choose, everything we talk about is confidential.

04

Counselling Techniques

I use what’s known as an integrative approach – integrating the affective, behavioural, cognitive, and physiological systems within one person, as well as addressing any social and spiritual aspects.

That simply means that I work with each client as a whole person and use a variety of techniques.

05

Goals and Outcomes

Our shared goal will be to make sure that you spend as little time ‘in therapy’ as possible, so that you can focus on implementing the changes that will improve your life and starting to enjoy life more as you move forward.

06

Review and Progress

We regularly review our work together to ensure you are getting what you need from the sessions. This helps us track your progress and adjust our approach if necessary to best support your journey.

We will work together until you feel ready to move forward independently.

Therapy For Adult Therapy For Adult
Therapy for Teenagers and Young People Therapy for Teenagers and Young People
Therapy after Cancer Diagnosis Therapy after Cancer Diagnosis
End of Life End of Life
Team

A-Therapy

Rafael Dupré

Rafael Dupré

Counsellor
Rafael Dupré is originally from Belgium and has resided in the United Kingdom since 2011. He currently divides his professional practice between private clinics in...
Read Full Bio →
Xandra Kike Spence

Xandra Kike Spence

Counsellor
Xandra Kike Spence works integratively, drawing on person-centred, psychodynamic, and cognitive behavioural (CBT) approaches rather than following a one-size-fits-all model. She adapts her work to...
Read Full Bio →
Ellen Wardren

Ellen Wardren

Counsellor
Ellen Waldren is an integrative psychotherapist with over 16 years of professional experience, including work within a major cancer charity and the criminal justice system....
Read Full Bio →
Counsellor
Counsellor
Counsellor

The Mental Health Team at Sequentus: A Caring Anchor in Challenging Times

Sequentus is a not-for-profit organisation focused primarily on providing legal advice and representation in fitness-to-practise (FTP) and regulatory proceedings for healthcare professionals.

Alongside its legal services, Sequentus offers a dedicated mental health support function which forms a crucial part of its client care model. Rafael is their acting Lead of the Mental Health team.

Learn More About Sequentus

Next steps

Contact me for a free initial assessment session

TESTIMONIALS

"From the first moment I spoke to Rafaël, I could tell he just 'got it' - he understood exactly what I was feeling, and what I needed - someone who would challenge my ways of thinking, guide me, direct me, and help me change very deeply held damaging behaviours and beliefs stretching back to childhood and subsequent trauma. Over the last year, he has absolutely given me the tools to achieve that, in the kindest, most compassionate way imaginable. I still have improvements to make (and perhaps always will) and am looking forward to continuing to work with him for as long as I need to support me with that."

J.L. 43y, Police Officer

"I trust Rafaël implicitly; he is professional and yet human; compassionate while able to get to the heart of difficult issues; and adapts his level of communication so that he extremely effectively helps you understand both yourself and his suggested therapeutic approach. I would not hesitate to recommend him to anyone for any issue - just"

R.M. 40y, Musician

"Working with Rafaël has genuinely changed my life. He’s supported me through some of the hardest, darkest, and most chaotic moments I’ve ever faced. His patience, kindness, and professionalism have been constant even when I wasn’t at my best. He’s given me structure, motivation, guidance, and unwavering support when I needed it most."

L.D. 29y, Business owner

"I honestly don’t think I’d be the person I am today and maybe I wouldn’t even be here if it wasn’t for Rafaël and the work we’ve done together. Because of him, I’ve learned how to be accountable, authentic, and to finally believe in myself."

F.N. 35y, Office Manager

"Today, I’m sober, grounded, confident, and genuinely excited to wake up every morning and live my life. That’s something I never thought I’d say. Raphael’s helped me reconnect with who I really am to care for myself, to love myself, and to build a future I’m proud of. He doesn’t just do his job he cares. You can feel it in every session, every conversation, and every bit of time he gives. The impact he’s had on me goes far beyond therapy it’s been life-changing. I’m deeply grateful to have him in my corner"

D.J. 33y, Personal Trainer

"Forever grateful to Rafaël! When psychotherapy was first recommended to me, I was sceptical. Even as a mental health professional, a large part of me resisted being vulnerable in therapy and exposing myself, after a series of traumatic life events. I didn’t want to accept I needed help and even more challenging to put my trust so deeply in another person. It felt like a huge step. On meeting Rafaël for the first time, I was struck by how intuitively he felt my predicament and I learned to soften as he put my mind at ease. Rafael showed me he could empathise with compassion whilst teaching me tools to approach my thoughts and feelings wisely. He seemed to know what I needed, the courage to build a strong foundation whilst maintaining a soft centre. He has relentless patience, trust and conviction in his approach, which gave me the confidence I needed."

R.S. 40y, Mental health professional

LATEST INSIGHTS

Articles

They Just Don't Listen

Few things test a parent’s patience and confidence quite like trying to communicate with a teenager. Many parents describe feeling frustrated, disconnected, or even invisible — as though their once talkative and affectionate child has suddenly become a stranger.
January 2026

Sleep Well, Feel Well

When it comes to improving mental health, there is no single solution. Therapy and counselling can be powerful tools for healing, but lasting wellbeing often requires a more holistic view — one that takes into account the interconnection between body and mind
January 2025

Solution-Focused Therapy: Shifting from Problems to Possibilities

When life feels overwhelming, it’s easy to get stuck focusing on what’s wrong. But what if, instead of dissecting every problem, you could focus on what’s already working and build from there? That’s the heart of Solution-Focused Therapy (SFT) — a refreshing, forward-looking approach to personal growth and change.
January 2026

Self-Care Is Not a Luxury — It Is a Necessity

I often remind my clients of this, particularly those who find it difficult to prioritise their own needs and instead focus on others — their children, parents, partners, and friends. Their energy and attention are continuously given away, leaving little for themselves.
January 2025

About Numbers and Hope

Most people begin therapy because they want change—even if they’re not yet sure what that change looks like. The idea of exploring what needs to shift in order to improve one’s quality of life can feel daunting. After all, it’s intimidating to start a process without knowing where it might lead. Many fear the unfamiliar nature of therapy, worried about placing their trust in an “expert” who will tell them what to do.
January 2026

Men’s Mental Health: Breaking the Silence

While mental health challenges affect both men and women, the way they manifest — and how individuals respond to them — often differs. Statistically, men are far less likely to seek help when they are struggling. The first step — visiting a doctor, or reaching out for counselling or therapy — frequently does not happen. Many men continue to struggle in silence.
January 2025

Actively Lifting Depression

There are countless reasons why people experience depression — whether it’s a brief period of feeling low or a long-term, clinical condition. While understanding the underlying causes is important, we don’t need to wait until we fully uncover them before taking action to make a difference.
January 2026

The Language of Self-Talk: How Words Shape Our Wellbeing

“I should have known better.” “I’m useless at this.” “I’ll never be able to make this work.” Sound familiar? Many of us have an internal voice that comments on our daily actions, choices, and mistakes. This inner critic seems ever-present — sometimes whispering, sometimes shouting — offering a steady stream of judgment.
January 2025

Understanding Guilt

Guilt is one of the emotions I hear about most frequently in therapy. Clients often describe feeling guilty — sometimes about things they did long ago, other times about recent events. They may also feel guilty about things they didn’t do — missed opportunities, unspoken words, or actions they wish they had taken.
January 2026

Grieving: The Price We Pay for Love

“Grief is the price we pay for love.” — Queen Elizabeth II, echoing the words of psychiatrist Colin Murray-Parkes Anyone who has lost a loved one knows how profoundly heartbreaking it can be. It can feel as though the ground has disappeared beneath you — as if time has stopped and moving forward is impossible. Life no longer makes sense; the void left behind seems unbearable, and the pain feels endless.
January 2025

Food for the Brain

There are countless reasons why people experience poor mental health. Some are genetic, others circumstantial or rooted in past experiences, and some are distinctly biological. When individuals seek help to improve their mental wellbeing, the first step is often to contact a counsellor or psychotherapist. A general practitioner may recommend therapy, medication, or both.
January 2026

Where the Focus Goes, the Energy Flows

Have you ever noticed how often your thoughts drift toward what might go wrong during an ordinary day? It happens almost unconsciously: “Did I lock the door when I went out?”, “Better check the forecast—it might rain,” or “Be careful, that’s too high, you might fall!” This tendency to anticipate danger is not a personal flaw; it is a deeply ingrained survival mechanism. Thousands of years ago, when humans roamed forests and plains as hunter-gatherers, vigilance was essential. We had to remain alert to potential threats—predators, poisonous plants, sudden weather changes—simply to stay alive. From an evolutionary standpoint, focusing on potential danger kept us safe.
January 2025